The role of illness perceptions in the attachment-related process of affect regulation

Abstract

Based on the predictions of the attachment theory and the Common Sense Model of illness perceptions, the current study focused on the role played by illness perceptions in explaining the path linking attachment orientations to negative affect during recovery from cardiac illness. We predicted two putative mechanisms: (1) illness perceptions would mediate the direct association between attachment-related insecurity (especially attachment anxiety) and levels of distress at follow-up and (2) illness perceptions would interact with attachment orientations (attachment avoidance in particular) in explaining patients' distress. The sample consisted of 111 male patients admitted to the Cardiac Care Unit of the Meir Medical Center, located in the central region of Israel. Patients completed a measure of attachment orientations during hospitalization (baseline). One month later, patients' illness perceptions were measured. Patients' depression and anxiety symptoms were measured at baseline and at the six-month follow-up. The associations between attachment-related anxiety and anxiety symptoms at follow-up were fully mediated by illness perceptions. Attachment-related avoidance was found to interact with illness perceptions in the prediction of depressive symptoms at follow-up. The findings shed light on the possible dynamics among personality, cognitive appraisals, and affect regulation efforts when coping with illness.     

The effects of syntactic structure on letter detection in adjacent function words

In the present study, we examined letter detection in very frequent function-word sequences. It has been claimed that such sequences are processed in a unitized manner, thus preempting access to their constituent letters. In contrast, we showed that letter detection in the words for and the (1) was no more difficult when the words appeared in adjacent locations in a sentence (familiar) than when they appeared apart (less familiar sequence) and (2) was contingent upon the words' syntactic roles within the phrase. Thus, letter detection in for was easier when the sequence was separated by a clause boundary than when the words were part of the same clause. The advantage derived from clause separation was strongest when a comma divided clauses. These results challenge the unitization account of the "missing-letter" effect in common phrases and support a position where this phenomenon is seen to reflect the extraction of phrase structure during reading.     

Visual attention and coactivation of response decisions for features from different dimensions

The role of visual attention in task performance has been extensively debated. On the basis of the dimensional-action model, we hypothesized that a major role of attention is to transfer response decisions from targets on which it is focused to high-level centers dealing with response execution. This hypothesis predicts that response decisions for two targets will interact only when attention is focused on both targets, and only when the response to the targets is defined by different dimensions. Three experiments, using the redundancy-gain paradigm, tested and confirmed this prediction. Experiment 1 showed that coactivation of two cross-dimensional targets occurred only when the targets were positioned in the same location, not when they were in separate locations. Experiment 2 manipulated the focus of attention and showed that coactivation can occur even for targets positioned in different locations if they are both within the attentional focus. Experiment 3 showed that this attention-induced coactivation does not occur for targets from the same dimensional module. These results suggest that a major role of attention is postperceptual and involves gating of selected responses to executive functions.     

Emotion Regulation Strategies in Cognitive Behavioral Therapy for Panic Disorder

Emotion regulation (ER) has been incorporated into many models of psychopathology, but it has not been examined directly in cognitive behavioral therapy (CBT) for panic disorder with agoraphobia (PD/A). In this study, a preliminary model of ER in CBT for PD/A is proposed based on existing theories, and several propositions of the model are tested. We hypothesized that increases in cognitive reappraisal would precede decreases in biased cognitions, decreases in expressive suppression would follow decreases in biased cognitions, and a reduction in symptom severity would follow decreases in expressive suppression. Twenty-nine patients who received CBT for PD/A completed weekly self-report measures of symptom severity, anxiety sensitivity, reappraisal and expressive suppression. In addition, patients were compared to a matched normal sample. Cross-lagged analyses partially supported the hypotheses. Reappraisal did not change until late stages of therapy and was generally not associated with treatment outcome. Suppression decreased significantly and exhibited a reciprocal relationship with biased cognitions. Symptom reduction followed decreases in suppression as hypothesized. However, patients did not differ in ER from matched controls at either pre- or posttreatment. Results suggest the important distinction between reappraisal and appraisal, and stress the role of session-by-session decreases in suppression as a predictor of symptom reduction.     

Response latency as a predictor of the accuracy of children's reports

Researchers have explored various diagnostic cues to the accuracy of information provided by child eyewitnesses. Previous studies indicated that children's confidence in their reports predicts the relative accuracy of these reports, and that the confidence-accuracy relationship generally improves as children grow older. In this study, we examined the added contribution of response latency to the prediction of children's accuracy over and above that of confidence ratings. In Experiments 1 and 2, 2nd and 5th graders studied picture-event pairs and were tested using forced-choice, 2-alternative, or 5-alternative questions. In Experiment 3, children watched a slideshow depicting a story and were tested by 5-alternative questions about story details. The children indicated their confidence in each response, and response latency was measured. The results of all experiments suggested that children in both age groups relied on response latency as a cue for confidence, and this reliance contributed to the success with which they monitored the accuracy of their reports. When the test format was easy (Experiment 1), 2nd graders were as accurate as 5th graders in monitoring the accuracy of their answers, and the latency of their responses was no less predictive of accuracy. When the task was more difficult, age differences emerged. Nevertheless, in all experiments and for both age groups, response latency was found to have added value for predicting accuracy over and above that of confidence. Theoretical and practical implications of these findings for predicting the accuracy of children's reports are discussed.     

The role of Gestalt grouping principles in visual statistical learning

A major issue in visual scene recognition involves the extraction of recurring chunks from a sequence of complex scenes. Previous studies have suggested that this kind of learning is accomplished according to Bayesian principles that constrain the types of extracted chunks. Here we show that perceptual grouping cues are also incorporated in this Bayesian model, providing additional evidence for the possible span of chunks. Experiment 1 replicates previous results showing that observers can learn three-element chunks without learning smaller, two-element chunks embedded within them. Experiment 2 shows that the very same embedded chunks are learned if they are grouped by perceptual cues, suggesting that perceptual grouping cues play an important role in chunk extraction from complex scenes.     

Easy comes,easy goes? The link between learning and remembering and its exploitation in metacognition

The cue-utilization view in metacognition assumes that judgments of learning (JOLs) are based on inferences from mnemonic cues deriving from the online processing of items during learning. This view calls for a specification of the underlying heuristics, their validity in predicting memory performance, and the extent to which they are utilized. This study examines one such heuristic: easily learned, easily remembered (ELER). We first show that ease of learning, as indexed by self-paced study time and by the number of trials to acquisition, is indeed a valid cue for recall success. We then demonstrate that this correlation between learning and rememberingunderlies metacognitive predictions about the future recallability of different items. The results are discussed in terms of the idea that metacognitive judgments incorporate knowledge about the internal ecology of cognitive processes, much as the perception of the external world embodies knowledge about the ecological structure of the environment.     

Adolescents' participation in organized activities and developmental success 2 and 8 years after high school: do sponsorship, duration, and intensity matter?

Using data from the National Education Longitudinal Study, the authors examined relations between educational, civic, and occupational success in young adulthood and the duration and intensity of participation in organized activities during high school. They also examined these relations as a function of sponsorship (i.e., school- vs. community-sponsored organized activities). They found that youths who participated in organized activities for 2 years demonstrated more favorable educational and civic outcomes in young adulthood than those who participated for 1 year. More intensive participation was also associated with greater educational, civic, and occupational success in young adulthood--particularly among youths who participated in activities for 2 years. Educational attainment often mediated the relations between temporal measures of participation and young adult civic and occupational outcomes. With the exception of analyses examining occupational success, findings varied little as a function of sponsorship. Of note, analyses revealed that both temporal measures of participation were positively associated with young adult outcomes as many as 8 years after high school.     

When confidence in a choice is independent of which choice is made

For forced-choice two-alternative general-information questions, confidence in the correctness of the answer differed reliably for different questions, regardless of which answer was chosen. Results suggested that this choice-independent confidence is mediated by the domain familiarity of the question and by its tendency to bring to mind either few or many thoughts and considerations. Ratings of the questions on familiarity and accessibility yielded strong correlations with participants’ confidence in whichever of two answers they had chosen, and with estimates of the percentage of participants who were likely to have chosen either of the answers in a previous experiment. The results were interpreted in terms of confirmation bias: Because items differ in the extent to which they bring to mind few or many pertinent thoughts, selective focusing on supportive evidence should yield a positive correlation between mean confidence in one answer and mean confidence in the alternative answer, as if there is no competition between them.     

Sensitization and habituation of motivated behavior in overweight and non-overweight children

The rate of habituation to food is inversely related to energy intake, and overweight children may habituate slower to food and consume more energy. This study compared patterns of sensitization, as defined by an initial increase in operant or motivated responding for food, and habituation, defined by gradual reduction in responding, for macaroni and cheese and pizza in overweight and non-overweight 8- to 12-year-old children. Non-overweight children habituated faster to both foods than overweight children (p = .03). All children recovered motivated responding for a new food (chocolate). Overweight children consumed more energy than non-overweight children (p = .0004). Children who showed a sensitization in responding consumed more food (p = .001), and sensitization moderated the effect of overweight on habituation, with slower habituation for overweight children who sensitized (p < .001). This study replicates previous data on overweight/non-overweight differences in habituation of food and energy intake, and provides new information that individual differences in sensitization and habituation of motivated responding to obtain food may be associated with a sustained motivation to eat, resulting in greater energy intake.